Healthcare Provider Details

I. General information

NPI: 1508681271
Provider Name (Legal Business Name): GOOD MORNING HOMES CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4254 TROOST AVE
KANSAS CITY MO
64110-1240
US

IV. Provider business mailing address

4254 TROOST AVE
KANSAS CITY MO
64110-1240
US

V. Phone/Fax

Practice location:
  • Phone: 816-405-0386
  • Fax: 510-319-8402
Mailing address:
  • Phone: 816-405-0386
  • Fax: 510-319-8402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: TAMIKA CLARK
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 816-977-5341